Organization
1059 VIRGINIA ST OPCO LLC
Active
Other names
Aviata at Lakeside Oaks Villas
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FREUND (MANAGER)
(732) 730-7480
Entity
Organization
Contact information
Practice address
1059 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-6091
(727) 736-6739
Mailing address
1059 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-6091
(727) 736-6739
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
04/09/2025
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